| Gastrocare, Li Pc | |
|
210 E Sunrise Hwy Suite 304 Valley Stream NY 11581-1329 | |
| (516) 825-8484 | |
| (516) 825-8491 |
| Full Name | Gastrocare, Li Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 E Sunrise Hwy, Valley Stream, New York |
| Authorized Official Name and Position | Bradley S Rieders (M.D.) |
| Authorized Official Contact | 5168258484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrocare, Li Pc 210 E Sunrise Hwy Suite 304 Valley Stream NY 11581-1329 Ph: (516) 825-8484 | Gastrocare, Li Pc 210 E Sunrise Hwy Suite 304 Valley Stream NY 11581-1329 Ph: (516) 825-8484 |
| NPI Number | 1548350739 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 04/23/2010 |
| Medicare PECOS PAC ID | 0143110726 |
|---|---|
| Medicare Enrollment ID | O20100419000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548350739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Debasis Adhikari |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1417946781 PECOS PAC ID: 1557307824 Enrollment ID: I20050708000181 |
| Provider Name | Bradley S Rieders |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043239387 PECOS PAC ID: 3476629387 Enrollment ID: I20090806000219 |
| Provider Name | Gautam M Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235158585 PECOS PAC ID: 0749356640 Enrollment ID: I20111018000002 |
| Provider Name | Brandon Elliott Rieders |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467895607 PECOS PAC ID: 9436455052 Enrollment ID: I20190619001627 |
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Value Based Medicine D Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 E Sunrise Hwy, Valley Stream, NY 11581 Phone: 203-901-2493 Fax: 866-497-2991 | |
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Grsp Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 Dumont Pl, Valley Stream, NY 11581 Phone: 732-281-3590 | |
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